Organization
THE GREEN PRAIRIE REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEGUM (MEMBER)
(507) 625-8741
Entity
Organization
Contact information
Practice address
810 2ND AVE NW, PLAINVIEW, MN 55964-1090
(507) 534-4204
Mailing address
638 SOUTHBEND AVE, MANKATO, MN 56001-2168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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